MONARCH NPI 1780724708

NPI Information

NPI: 1780724708
Provider Name: MONARCH
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2723 BOBWHITE CIR
WINGATE, NC
ZIP 28174
Phone: (704) 233-9368
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MONARCH is an intermediate care facility mentally retarded in Wingate, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MONARCH NPI is 1780724708. The provider is registered as an organization entity type.

The provider's business location address is:

2723 BOBWHITE CIR
WINGATE, NC
ZIP 28174-657
Phone: (704) 233-9368
Fax: (704) 296-4655

The provider's authorized official is Cindy Jones .
The authorized official title is Cfo and has the following contact phone number (704) 986-1522.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 3/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health			No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MHL-090-010	NORTH CAROLINA	No
3	311Z00000X	Custodial Care Facility			No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			No
5	315P00000X	Intermediate Care Facility, Intellectual Disabilities			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3416493	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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